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High esr 74
I got my routine test done with no symptoms although everything was fine my esr came out to be 74 and haemoglobin is 11.3 what should I do?
Answers (16)
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An ESR of 74 mm/hr combined with a hemoglobin of 11.3 g/dL â even without any obvious symptoms â is a significant finding that should not be ignored. ESR is a non-specific but important marker of inflammation or disease activity in the body. An elevated ESR with mild anemia together can point towards several conditions that need to be systematically ruled out: iron deficiency anemia (which can itself mildly raise ESR), autoimmune conditions like rheumatoid arthritis or lupus (which can be silent early on), chronic infections like tuberculosis (which can be truly asymptomatic in early stages and only show up on tests), inflammatory bowel disease, and â importantly â certain malignancies like lymphoma or multiple myeloma, where elevated ESR and anemia are classic early findings. The absence of symptoms is reassuring but does not rule these out.
Next Steps
Please get the following tests done: CRP (C-reactive protein), iron studies (serum ferritin + serum iron + TIBC), Vitamin B12, peripheral blood smear, kidney function tests, liver function tests, urine routine, chest X-ray (to rule out TB or any lung finding), RA factor and ANA (to screen for autoimmune disease). Based on age, also consider a serum protein electrophoresis (SPEP). All these results together will help narrow down the cause. See a physician in person with all the reports. Please consult me directly on Practo for a detailed evaluation.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Take trearment
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Just take syp Tonoferron 5m.l morning and evening for 2 to 3 weeks, neurobion forte one daily for 3 weeks.
If no other problem, as Haemoglobin improves esr will reduce. It is a non specific test.
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Already answered in detail
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Take ifa tab.and no worry about esr ,its insignificant most of time.
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Need more history... please consult
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High esr is due to infection or inflammation and it can be early marker of hypertension in future.
Next Steps
Get your repeat esr done and lipid profile (empty stomach) and also your blood pressure measured at a nearby clinic.
please consult for more evaluation
Health Tips
Theres no reason to worry because esr is not a diagnostic test for any disease and it can be raised due to many reason but still you should get proper evaluation to rule out all possibilties
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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That’s because of anemia take iron and b12
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Repeat ESR after 2-4 weeks
Get CBC with RBC indices, peripheral smear, serum protein and iron profile, CRP
Any history of , recent infection, joint pain, wt loss, heavy menstrual bleeding?
Contact me on whatsapp nine five five seven eight seven zero five six four
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Do crp
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.